| NPI | 1396159562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R14525) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R188501-7) |
| 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: MN R188501-7) | |
| 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: ND R14525) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |